Organization
EICKERT PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EICKERT D.C. (OWNER)
(563) 212-3215
Entity
Organization
Contact information
Practice address
2260 W HIGGINS RD, HOFFMAN ESTATES, IL 60169-2431
(563) 212-3215
Mailing address
1404 WASHINGTON ST, LAKE IN THE HILLS, IL 60156-1046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011653
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
038011653
IL
Other
Enumeration date
01/24/2013
Last updated
08/05/2013
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